Commissioner Stephen T. Goudge released the Report of the Inquiry into Pediatric Forensic Pathology in
Ontario on October 1, 2008. It was transmitted to Attorney General Chris Bentley shortly before the public release.

Printed copies and CD-Roms are available for purchase at Publications Ontario outlets after the
date of release. Publications Ontario can be reached at
1-800-668-9938 or through their website.

The Inquiry into Pediatric Forensic Pathology in Ontario

The Inquiry into Pediatric Forensic Pathology in Ontario was established by the Government of Ontario under the
Public Inquiries Act on April 25, 2007. The Honourable Stephen T. Goudge was appointed Commissioner.

The Inquiry's mandate was to conduct a systemic review and an assessment of the policies, procedures, practices,
accountability and oversight mechanisms, quality control measures and institutional arrangements of
pediatric forensic pathology in Ontario from 1981 to 2001 as they relate to its practice and use in
investigations and criminal proceedings. The Commissioner was asked to make recommendations to address
systemic failings and restore and enhance public confidence in pediatric forensic pathology in Ontario.

The Commission's mandate did not include reporting on any individual cases that have been or may
be subject to a criminal investigation or proceeding. However, members of the Commission met
privately with individuals or families affected by practices in Ontario's pediatric forensic pathology
system between 1981 and 2001. These meetings were not part of the formal hearing process.
There are no transcripts of the meetings.